What It Means To Have An NHS Perinatal Psychiatry Planning Meeting.

Yesterday was the first NHS meeting with the Perinatal (pre conception/birth) Psychiatrist. I didn’t know what to expect from it, though a few weeks ago I had the non NHS meeting with a very good consultant psychiatrist. They were both lovely women who are very good at their jobs- I had had to initially try for a private referral due to NHS waiting lists, but then managed to get an NHS appointment.

I was a bit nervous to see how the NHS would handle it, as they will be who I have care with going forward, so I was pleasantly surprised to be treated with respect and insight and kindness. I know that sounds weird, but those of you who know what my hospital admission in 2014 was like, will know that it wasn’t all plain sailing. Due to lack of insight, decisions happened about me and not always with me and so to feel empowered for me and my husband is very important.

Essentially these meetings now I have been well for a long time, are to plan ahead and discuss psychiatric history, what medications are needed, how it can be managed and what this would mean for a foetus and baby too. Birth carries a strong risk of relapse with the bipolar disorder, including the risk of psychosis and depression and so medication particularly for me needs to be planned carefully. I will need to be monitored once pregnant.

I am on 3 different types of psychiatric medication and also a contraceptive pill. Before we start trying to have children, I will need to have a time of withdrawal from the pill, which could send my hormones all over the place (i used to have PMDD symptoms where I felt very depressed and suicidal on periods so this is a slight concern). Then I may need to taper down one of my medicines (possibly sertraline) with the assistance of the mental health team, to reduce the effect on a baby. As baby will have a time of withdrawal from medications after birth while in hospital- which scares me too that they will be affected temporarily so want to make sure any baby is safe, as do the team I will work with.

The Dr also mentioned I would need to be in hospital for 5 days after birth so my Lithium level can be monitored (too high it can be toxic to humans) and I will need regular blood tests also- which are a source of anxiety, I hate hospitals due to past trauma. There was also a mention of needing to stop Lithium pre Labour and my Lithium levels as a result being quite high from birth too. So this information is good, knowledge is power but its also a bit terrifying to factor this all in.

I am scared but its also…. exciting in a weird way. Despite not yet trying to fall pregnant for a number of reasons so far- (which include possible bipolar relapse and changing meds/ time frames and starting a new job role), I have wanted to be a mother my whole life and I have more challenges than most due to the psychiatric and hormonal changes and how the baby would be. I question whether I am doing the right thing too by trying for a natural pregnancy in future and thats really hard. But egg harvesting and surrogacy is not easy either.. and its like going between a rock and a hard place at times with the best thing to do.

The doctors also mentioned I should visit a mother and baby hospital unit during my pregnancy to see what its like and what support is given- as my worries about it being like a severe psychiatric ward are high. Apparently, its a much calmer, supportive and therapeutic environment. I don’t want to be in hospital but these are the types of things one has to factor in with the bipolar being biological with mood changes.

Rob is endlessly supportive – we are embarking on a somewhat unknown journey – but are now armed with way more information from both psychiatrists and are very thankful to live in the UK.

So, this will be the last update from me on this for a while but knowledge truly is power and I know that with the help of our healthcare system- mental health teams and perinatal psychiatry/ obstetrics, my family, medication, self care etc I should be safeguarded and cared for well.

When the time is right, we pray our miracle will manifest.

Thanks for reading,

Eleanor x

PS shout out to my parents, Rob and family for their constant support.

Mental Health, Low Self Esteem, Body Image and Fashion.

(image: Freestocks at unsplash)

Fashion is a powerful force. It has the ability to make people feel confident, empowered, or at its worst horrible about themselves. It can have a positive impact on mental health and self-esteem if you find something pieces that make you feel good about yourselves. On the other hand, fashion can also have a negative impact on self-esteem and mental health if you’re constantly exposed to images and messages that make you feel inferior or unhappy with who you are. Especially with the inward turn of the pandemic, its hard for people to feel happy and confident about themselves.

The Psychology of Fashion

Fashion is a multi-billion-dollar industry and a big part of many people’s daily lives. It’s a subculture that’s easy to invest in. And, like any other trend, fashion comes and goes, so you’re always in control of how much you invest in it. The psychology of fashion reveals the different aspects of how fashion impacts people’s self-esteem. From the way people perceive others based on the way they’re dressed, to how people present themselves to the world by choosing outfits, fashion has a strong psychological effect on everyone.

Body Image

Our bodies are such an important part of life, and it’s normal to have some insecurities about them. Still, as you grow older, many people struggle with body dysmorphia or an unhealthy obsession with one’s appearance. Constant exposure to images of other people’s bodies that are unrealistic and unattainable can be harmful to your self-esteem, especially in young people who are still forming their self-image. This can lead to eating disorders, body dysmorphia, low self esteem and depression and anxiety. Looking at images of gorgeous models wearing clothes you can’t afford or fit in can makes you feel left out or confused. It’s fun to keep up with trends, but try to avoid getting stuck in a rut of hype culture.

(image: Hannah Morgan at Unsplash)

So what should I do?

You can’t ignore fashion and societal trends- but it’s important to not let fashion (or what is popular to wear) become something that defines who you are. It’s a fun accessory, something you should do for enjoyment, creativity, and confidence. For people who have found themselves struggling with their mental health due to the psychological effects on body image, it’s important to seek help. Talk to your friends and family members, or seek professional help if you need it. There are many ways to find happiness in style- whether you’re into vintage clothing, a specific designer, or a particular style like athleisure. You can read blogs with good recommendations, and wear things that you love, like that pair of perfect trainers or Men’s Off-White Hoodies. There’s something for everyone, and it’s important to have fun with it!

Fashion and societal expectations of how one should look can have a big impact on mental health, so it’s important to be mindful of it. It is also hard to be bombarded with negative messages on body image via social media. The body positive movement has sprung up because of this narrative- showing curvier models and embracing your flaws as beautiful.

There are also many ways to wear your favourite clothes in a way that makes you feel good about yourself, without negatively impacting your mental health. Focus on what makes you feel like the best version of yourself!

This article was written by a freelance writer and contains do follow links.

Promoting Wellbeing, Positive Mental Health and Reducing Stress in the Elderly.

(image: Unsplash/Istock)

The UK has an ageing population, with statistics indicating that there are 5.4 million people aged 75 years. A further breakdown also shows that persons aged 85 years and above make up 1.6 million of the population. Indeed, the ageing years are characterised by failing physical and mental health. However, science and society continue to devise ways to make the period less stressful.

Here are some guidelines on how:

  1. The essence of mobility

As people age, one of the first things that deteriorate is mobility. The depletion of muscle tone, coupled with bone issues, may inhibit movement. Usually, it sets in gradually, and when nothing is done, mobility can decrease by as much as 70% to 80%. At that point, an ageing person may need walking aids to support their body weight. However, mobility issues can be thwarted if counter-measures are taken in time.

Geriatricians (primary care doctors for the aged) advise ageing persons to dedicate some minutes of their days to walk. According to these experts, 150 minutes in a week is adequate. When the elder individual has enough energy, an average of 20 minutes daily is perfect. However, another person with mobility issues can engage in a guided basic workout for at least 15 minutes a day. Among the elderly, the risk of falling is incredibly high. This may therefore require a specialised alarm for elderly persons. This is worn like a wristwatch and can be used to monitor the number of daily steps, call for help when needed, etc. So, as you encourage an older person to take mobility issues seriously, it helps to ensure that it’s done safely.

  1. Reinforced social networks

It is essential to belong to a strong and supportive social network during the later years. Retiring from active duty and work can trigger depression. Although statistics indicate that depression in older adults is less prevalent than in the younger generation, it is still a cause for concern. Research in UK care homes revealed that 40% of the ageing generation endure chronic depression. This is likely due to the separation from their immediate family and friends.

Fortunately, this can be resolved when these seniors are encouraged to participate in social engagements. It can be in the form of a support group, a reading club, or other recreational groups purposely for older adults. As simple as these social networks may seem, they play a vital role in their life. It generates a sense of belonging, which subsequently promotes healthy mental well-being.

  1. Attention to regular quality sleep

According to the British Geriatrics Society, insomnia is prevalent amongst elderly people. Whether housed in a care home or not, the difficulty in initiating and maintaining sleep is a hurdle many older adults cannot cross without help. Insomnia is both a physical and mental well-being issue. This explains why experts say it should always be tackled from both angles.

In other words, as doctors prescribe pills to aid sleep, it is advisable to focus on the root cause of insomnia. It is possible to boost sleep quality by speaking to medical professionals and also assessing if there is a mental health cause to the insomnia too.

Elderly adults need both physical and mental health care as they transition into this new phase of life. These are just some ideas to help.

This article was written by a freelance writer.

Learning to Accept and Embrace Having Schizoaffective Disorder This Mental Health Awareness Week by James Lindsay

(image: Mental Health Foundation)

I do often wonder how long I had schizoaffective disorder before my diagnosis, but I guess I will never know. Back in 2016, I had my first experience of displaying symptoms of Schizophrenia (such as delusions), when I suffered from my first psychotic episode.

Before that, I had not really heard of any of these medical terms. I used to wrongly associate schizophrenic people with characters from the film ‘One Flew Over the Cuckoo’s Nest’. I thought they were lost causes who needed constant care, I didn’t think they could be functioning members of society like everyone else, and I feel bad that I used to think that. But I had a lack of education and personal experience.

In late 2019, I suffered from a relapse and had another experience with psychosis (which can be defined as losing touch with reality with delusions and/or hallucinations).. In early 2020 I was finally diagnosed with Schizoaffective Disorder. For those who are unsure, this condition is where symptoms of both psychotic and mood disorders are present together during one episode. ‘Schizo‘ refers to psychotic symptoms and ‘affective’ refers to mood symptoms. It is often described as a cross between Bipolar Disorder and Schizophrenia, as it includes symptoms from both of those conditions.

For me, it is currently something I am able to keep at bay, mainly thanks to my medication but also through being self-aware and looking after my mental wellbeing. I take Quetiapine (200mg slow release) every single day and I am more than happy with that. I have my tablet in the evening, which then helps me fall asleep without much struggle.

Without my meds, I can tell you now that I would be in all sorts of trouble. Every now and then I might forget to take it until just before bed, which means I need much longer to fall asleep because it takes a couple of hours to kick in.

That is ok though, as long as it’s not every night. But I know for a fact that without the medication, I am much more likely to start having delusions (irrational thoughts) and have an episode. Both my 2016 and 2019 episodes happened because my sleep was terrible and at times non-existent. I used to take sleep for granted, which is easy for anyone to do, but if you don’t let the brain repair itself it can lead to all sorts of problems. Just remember that psychosis can happen to absolutely anyone, I would not wish it on my worst enemy.

I am learning new things about my Schizoaffective Disorder all the time. I have joined a few Facebook groups which are supportive communities full of people with (or supporting those with) the same condition, such as this one which has nearly 18k members. For example I discovered through this group that some people who take meds before dinner (e.g. 4/5pm), find themselves waking up around 3am when they’ve worn off. They realised taking them an hour or so after dinner can give them a better sleep.

I have read books by authors with mental illness and they really help normalise it and give me peace of mind. I recently read ‘The Stranger on the Bridge’ by Jonny Benjamin (who is also Schizoaffective) and this gave me so much comfort. When you read a story that has parallels to yours, it gives you so much more hope and confidence that you can overcome your own adversities. Podcasts are a great source of help too and there are plenty out there that cover all kinds of mental illnesses.

I am also fortunate that my job gives me more opportunities to enhance my understanding of the disorder. I am proud to work for Hertfordshire Mind Network (my local mental health charity) as Fundraising & Marketing Officer, who are really supportive and always ask if there is anything they can do to help with my condition. I would advise anyone with mental illness to make your employer aware, because that’s the first step to them being able to support you and make any adjustments you might need.

I think ever since I changed my attitude to being schizoaffective, I have been able to befriend it and realise it’s not my enemy, but part of who I am. I used to feel embarrassed and was maybe even in denial at first. When I had the shame, I was never in the right mindset to go out and learn what this illness actually is, what is it doing to me, what should I look out for, what are my triggers/warning signs, what help can I get from other people.

The reality is – millions of people are schizoaffective and they are some of the best people you can encounter. They are incredible for living through it every day and I am proud to be one of them.

I hope you found my post useful and big thank you to the wonderful Eleanor Segall for the opportunity to contribute to her fantastic blog! If you’d like to connect over mental health you can find me here –

(image: James Lindsay)

@JamesLindsay23– Twitter

What To Do When You Feel Alone: by Eleanor


As I started opening this page to write this blog post, on youtube, the Jessie J live concert I was listening to flicked on to one of my favourites of hers, ‘Who You Are’.

The lyrics:

‘Don’t lose who you are

In the blur of the stars

Seeing is deceiving

Dreaming is believing

its Ok not to be OK

Sometimes its hard to follow your heart

Tears don’t mean you’re losing

Everybody’s bruising

Just stay true to who you are.’ (Jessie J)

I wanted to write a post on what to do when you feel alone. This sums it up- self care and staying true to yourself.

  1. Its ok to cry. Let the emotion out, feel the grief/fear/sadness/anger. Allow it to be present and wash over you. Crying can be healing.

2. Seek support from a loved one, someone you trust or a helpline like Samaritans. You are never truly alone even if you don’t have a supportive family or friends- though it is harder.

3. Write out your feelings on paper in a journal or talk about them with a therapist if you can access one.

4. Do a little activity to make you feel a bit happier– talk to a friend, sing, paint, write, do sport- whatever your thing is- do it.

5. Find a support group- Mind run good ones or a local charity to you.

6. Remember – these emotions, these feelings will pass like clouds eventually. This too shall pass. make sure you keep speaking, sharing and healing yourself.

7. If you are feeling very depressed or at crisis point, call a helpline or go to your GP.

8. Make sure you eat, drink and look after yourself. If this isnt possible- see point 7.

Sometimes we can all feel alone or lonely in the world. Its a part of being human. But taking small steps towards looking after ourselves and our mental health can be really helpful.

What helps you?

Eleanor x

What It’s Like To Go Through Severe Depression as a Bipolar Episode: Looking Back by Eleanor

(image of Eleanors book Bring me to Light: Eleanor Segall/ Trigger and Welbeck publishing)

TRIGGER WARNING- DISCUSSES SUICIDAL IDEATION, SELF HARM AND BIPOLAR DISORDER. PLEASE READ WITH CARE

This weekend, I went home to my mums to celebrate the Jewish festival of Pesach (Passover) and have some quiet, family time. It was wonderful and because our religious laws mean we don’t use the internet, our phone on our festivals, it meant I had time for digital detoxing and switching off. But with that silence, came space. To think and reflect.

Something you may not know about me is that as well as being a writer, throughout the years I have been a prolific diary (journal) writer. The act of putting pen to paper and type to keyboard has always been therapeutic for me in my darkest moments. I found a diary I had written in 2013, when I was living with depression, suicidal ideation and self harm thoughts and actions.

The journal was covered in butterflies- always my symbol of hope. I don’t want to trigger anyone so I will say this carefully- essentially, I was so unwell that for me, my symptoms were: sleeping until the afternoon with a slight break for a meal or tablets, not socialising, finding it hard to wash due to increased anxiety and lethargy, feeling like I didn’t want to wake up the next day and wanting to harm myself in various ways- but being so frightened by these thoughts (because i knew they weren’t really Eleanor) that i had to vocalise them to my family and psychiatrist to keep myself safe. Thats what I did and its why I am still here today, in recovery.

I lived with this depression for about 6 months- my psychiatrist was encouraging me to try Lithium to stablise the bipolar but I wasn’t ready and wanted to see if Quetaipine could halt that. As we know, I became hospitalised for mania soon after in 2014 which led me to recovery and writing my book Bring me to Light.

When you live with an illness like bipolar disorder, you can sometimes forget the nuances of all the details of how you were when you were unwell. For me, I always felt that I handled the depressive episodes ‘better’ than the mania- just because I was able to keep myself as safe as possible by telling my family and doctor and changing medication. My psychiatrist had to come out to see me at home with a nurse as I was so unwell and I wrote out how I felt for him to know.

So many people live with terrible episodes of depression so this blog is just looking back and giving you some knowledge of how it manifested for me. Essentially, depression is a slowing down of the mind towards inactivity, darkness, misery, anxiety, agitation and it is often triggered due to changes in hormones and brain chemistry (if you have a family history its more likely to happen). Depression is not just low mood. Its paralysing. Its not wanting to be in the world and being in so much emotional pain. You may think of ways to harm yourself and you may dream of not being in the world. Or you may be ‘high functioning’. I somehow managed to go to friends weddings during this time despite spending the other days in bed til 5pm- I have no idea how- anti depressants and support helped greatly. However, my depression was dark and invasive.


Now, I had forgotten a lot of these finer details. For me, I never truly wanted to die- I wanted the uncontrollable bipolar to go! The suicidal ideation was my bipolar brain chemistry but also an expression of not coping with life and the bipolar moods I had been given- I was 24 and I couldn’t enjoy life- i was wracked with anxiety too. My mental health was fragile and unstable and it is no way to live- but what saved me, was being hospitalised and finding medication and therapy that has helped me to live in remission (thank God) for 7 years now.

I can say now that my brain chemistry is balanced and even if i ever get sad or frustrated, I don’t have those awful thoughts and if they ever come up, I can deal with them. I have such a supportive partner and family- my family and psychiatrist saved me as well as me trying to save myself- I frightened myself with my thoughts and I had some semblance of being able to keep myself going, which is not possible for everyone. It helped that my Dad has bipolar and could really understand what was going on for me too- he understood exactly how I was feeling but he knew it was the illness and not Ellie. I feel so lucky for that because not everyone has this. My mum, step dad and sister and wider family also were so supportive and never blamed me for being unwell. That helped too. My faith also has helped me dearly,

(Me at 25 when I was going through depression. This photo was a selfie taken when I was dressed up to go to a friends wedding and my sister had done my make up. There were no photos with messy hair or red eyes and tears. I never looked this good when I was in bed til 5pm most days in my PJs).

If youve got this far thank you for reading. My mission is to help others with these conditions feel less alone, through sharing my own experiences. I have been careful not to reveal what certain thoughts were here so I don’t trigger anyone.

If you live with depression and a host of other issues, you can recover again. Hold on. You will not feel like this forever and you can find a level of happiness and stability again. Reach for help, someone you trust, a help line, a psychiatrist and don’t give up.

How to Transform Social Anxiety/Phobia by Lewis McDonnell at Phobia Support Forum

(image: Pexels: Brett Jordan)

Social anxiety is quite common but it affects people in different ways, situations and circumstances. Some people may find they have anticipatory anxiety before certain events, like interview days, big events like weddings and public speaking. But for those that suffer with everyday social anxiety this can be equally debilitating.

Living with social anxiety can be tough because it literally affects everything we do. From the choices we make, activities we participate in, opportunities that are presented to us and naturally, the way we live our lives. It can also have a huge impact on the direction of our life and how it unfolds.

For many people living with social anxiety, it can range from mild to very extreme. It’s often triggered due to particular circumstances. Big events such as:

  • Going on a date
  • Meeting new friends
  • New job interview.

It can also be triggered by everyday events. For example:-

  • Going to the supermarkets or the shops
  • Speaking with the cash register assistant
  • Asking for directions
  • Walking around in public places.

In order to address the many challenges of social anxiety, we need to understand the specific causes.

Causes

Social anxiety manifests itself as tension in the body, elevated heart rate, paranoia, awkwardness, inhibition, not being able to express ourselves in certain moments where we want/need to. This is often caused by the beliefs and the ideas that we hold in our mind. When these are triggered, or we are provoked/threatened by the particular circumstance, this is when the anxiety kicks in.

In our everyday existence, we have two types of thinking.

One type of thinking is known as logistical thinking. This is simply our organisational logical thinking such as, today, I need to get the train. Or we may have thought when we go to the shop, I’m going to buy apples today, they are on the list, together with potatoes and rice. It’s very logistical. This kind of thinking holds no real emotion and is more matter of fact.

However, most people living with social anxiety describe themselves as self-conscious and this is an accurate description of the second kind of thinking, known as self-referential thinking.

Self-referential thinking is where we are referring back to ourselves.

For example… we might have the logistical thought, OK, I need to get the train. But then self-referential thinking would come in, making us consider, what happens if I miss the train? What happens if I’m late for work? What happens if the train is delayed? What will people on the train think of me? Should I be getting the train to work rather than driving?

This is where we apply personal meaning to our circumstances and to the logistical tasks of the day. We give it meaning that relates back to our self-image and identity. Within this, self-referential thinking is where a lot of anxiety is created.

Examples of self-referential thinking

Note: everyone is unique and everyone has their own thought patterns, leanings and identity. Here are some examples of self-referential thinking that can provoke anxiety in people:-

  • What will people think of me?
  • What if they don’t like me?
  • I hope I don’t come across as being awkward.
  • What if I embarrass myself?
  • Are they looking at me?
  • What if I make a mistake?

All of these thoughts can be considered seeds. The first domino in the sequence triggers the momentum of catastrophizing self-referential thinking. This can lead to a sense of anxiety, dread, panic or embarrassment.

(image: Cloudlead blog)

Struggle with social anxiety

I actually used to really struggle with social anxiety and this would prevent me from speaking in front of groups. It would make me feel very self-conscious and on edge when I was in supermarkets, when I was around people in public places. I’d often worry about what other people were thinking of me or how I was coming across and I really used to beat myself up over this. It made me feel as though I was somehow inferior or there was something wrong with me.

In my quest to beat social anxiety, I tried a lot of things to try and overcome this. Some of the things I found most impactful were part of my own professional therapy training.

During our practice sessions with my colleagues, we would get to work through many of our fears and anxieties. That provided me with a great deal of relief and clarity.

Another thing that really helped me was the concept of self-acceptance. Because it’s often the things that we reject about ourselves that we then project onto other people. So if we don’t like the shape of our body or the way we look, we will assume that perhaps other people won’t like that either. But that is a projection of our mind onto these people.

It’s none of our business what other people think, it matters more about what we think and self-acceptance is a beautiful concept. A practice where we draw in the things that we feel such great resistance to. Then we seek to embrace it, accept it and claim ownership over it. That way we take back our power and finally give ourselves permission to exist as we are, without judgement or criticism.

After all, this is about reclaiming your sovereignty, your identity, your freedom from these thoughts, insecurities and worries. These are the things holding you back from living your best life, enjoying your life and fulfilling your potential.

Comedians have social confidence

Take comedians for example, they often talk about embarrassing moments and they talk about all the taboo topics such as farting and other awkward encounters whilst everyone in the audience cringes with laughter at the shock factor.

But whilst the audience cringes with laughter, the comedian stands there proudly and boldly, proclaiming to the world. They take ownership of their so-called insecurity or embarrassing moments and they do so with confidence. That’s because a confident person is a self-accepting person. They have claimed ownership over their embarrassing moments and taken their power back from them.

Bringing self-awareness into your thoughts

The first stage of transforming your anxiety is bringing self-awareness to your thought process. The question you need to ask yourself is: What is making me feel anxious?

Some people are afraid of judgement, criticism, embarrassment, drawing attention to themselves, being the odd one out, being rejected.

Whatever it is to you will be unique and if you spend time thinking about this, you will begin to get a clearer understanding of what’s really generating all of this anxiety. It can be helpful to use a notepad and pen for this exercise.

Social anxiety is just a symptom of an unconscious behavioural response. The good news is that it can be changed because all behaviours can be changed. This isn’t something that you’re born with. This isn’t something that you’re destined to live with for the rest of your life. It is something that can be resolved and there are many ways to do this.

Taking the right path for you

Some people feel inspired to take the route of exposure and setting themselves social challenges. This is done in the way of, OK, if I’m afraid of talking to people or more afraid of what people think, I’ll set myself a challenge. Every time I go out in a social situation, I’ll ask someone for the time or ask the shop assistant, how are you doing today?

But whilst that’s all very well for a lot of people living with social anxiety, it can be very intense and confronting, even just getting to that stage can be challenging. So for that reason, professional one to one therapy can be really helpful for this.

Some recommendations would be to first find a therapist that you trust, that you feel a genuine connection with them. Always check to see if they have a proven track record for helping people get results, and that they really are an expert in their field.

Once you find that connection, build that trust and learn to enjoy your unique character, your anxiety levels will fall as you take back control.

Social anxiety is an unconscious behavioural response that’s generated by our beliefs and thought processes, all of which can be challenged and changed..

Conclusion

At some point in our lives, the vast majority of humans on this earth will experience a degree of anxiety in certain social settings. How we react, adapt and behave within these settings is dictated by our attitude and perception of the experience.

This article was written by Lewis McDonnell from the Phobia Support Forum.

Bipolar and Perinatal Mental Health: Part One by Eleanor

I havn’t been sure for many months whether I was ready or wanted to share about the many issues I have been grappling with for a number of years. However, writing for me is therapeutic and so I wanted to share about the reality of mood disorders and thinking about starting a family.

To begin with, this is such a personal and complex issue for anyone with what is termed ‘severe mental illness; ie bipolar disorder, schizophrenia, psychosis. Our illnesses mainly have to be managed on daily medication and for some people with severe mental illness, they may still live with daily symptoms which can cause difficulties for them.

So this article is my personal experience of living with Bipolar 1 disorder and anxiety. To note, I was started on Lithium in 2014 after my last hospitalisation- which has stabilised the bipolar episodes into remission (it does something to the seretonin in the brain). I still live with some anxiety, but the combination of Lithium, Quetaipine (an anti psychotic) and anti depressants has meant that I do not become manic or psychotic and nor do I suffer from severe depression or suicidal depression. I feel more stable and I have engaged in therapy for the trauma I went through, for 2 years. So, thankfully at the moment my illness is very much controlled well and I have support from Rob and my family.

One side effects of my medicines has been weight gain and I aim to lose weight over the next year. This is important to me because it can sometimes impact on fertility and also makes a pregnancy more high risk (physical side effects such as blood clots etc). I will also be 34 in July and so this has become more pressing for me in terms of wanting to try for a baby. However, there are many risks in choosing to do this and going ahead, without speaking to a perinatal psychiatrist or mental health team.

Today, I got my referral letter to the mental health team to discuss planning a pregnancy and am on an NHS waiting list til June. For me, because my type of bipolar can be dangerous with the mania and psychosis- and having had several psychotic episodes in my life to date that have ended me up in hospital- a pregnancy where I carry a baby myself, has to be carefully planned in terms of my medication. For many reasons, I want to stay on my medicines for the entire pregnancy- so that I don’t end up relapsing during or straight after pregnancy (with bipolar there is a greater risk of relapse and post partum depression/psychosis due to the hormonal changes straight after birth).

I have been terrified for a number of years over what to do in order to keep me and a potential baby safe. I have researched surrogacy so I don’t risk making myself unwell, but this comes with a whole host of legal challenges around who is the parent, high financial costs (of treatment and paying expenses for surrogate/agencies) etc and the wait for the right surrogate. Surrogates can also pull out before giving. birth, you have to put your trust in them if you don’t know them- and you are trusting them with something hugely important! We also thought about adoption but with my mental health history and the potential issues that a child in care may be facing, I just didn’t want to put myself through the stress of being scrutinised.

So, please God even if we are blessed with a healthy child- the pregnancy may be as a friend of mine has termed ‘high risk’. This scares me and it scares me about potentially ending up in hospital again, on a mother and baby unit. I want to stay on my mood stabiliser and anti psychotic so the bipolar doesn’t cause this- however, I have decided that as long as I can stay on my medication and have the support of an experienced perinatal psychiatrist and mental health team (as well as my therapist),- plus regular monitoring and scans… and of course a proper plan put in place in case of relapse, this is what I will do (again, no one knows until you start trying for a baby and there can be many hurdles but I am trying to think positively).

I have also been asked whether I am worried about passing bipolar on. This is a worry as it does run in my family- however, I believe the risk of this with one parent is only about 10% (I got unlucky). Sometimes, I sit and question- am I being selfish for wanting to be a mother? And I realise, no I am not selfish. I don’t want my potential child to get bipolar disorder but equally if they do, we will deal with it. We also both want to get tested by Jnetics as we are both Ashkenazi (East European) Jews so may be carriers for certain illnesses.

Some women don’t want to be mothers, but I always have done since I was a little girl and I can’t imagine never having a family with my husband. I want to be the best Mum I can be and reduce my illness risk as much as possible to remain stable and well.

Do I wish things were different and I didn’t have this illness? Yes. but the reality is that I do but that I have been stable for a long time. I know we will make good parents whatever way it happens and I just hope the road ahead won’t be paved with challenges… it is never easy. I write this because its not often talked about… and I know there will be more to come on this subject but I wanted to share- if you yourself are going through something similar, you aren’t alone.

It took a lot to share this because its so personal and I worry about sharing too much- but this blog has been years in the making really! There is never a right time to open up- but maybe now I can allow myself to a bit and release the burden.

People sometimes ask me if I have children (as im mid thirties and married) and my answer is always, I hope to one day soon but leave it in Gods hands.

With love,

Eleanor x

9 Tips on Prioritising Your Mental Health While Raising Children.

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It’s no secret that parenting is hard. But what many people don’t realise is just how hard it can be on your mental health. Juggling the demands of work, children, and a household can be overwhelming – and it’s easy to let your mental health take a backseat. But this isn’t good for you or your children. In this blog, we will discuss nine tips on prioritising your mental health while raising children!

1) Make time for yourself.

One of the best ways to prioritise your mental health is to make time for yourself. This might mean setting aside a few hours each week to do something you enjoy or simply taking some time out each day to relax and rejuvenate. You must make this time for yourself, as it will help you recharge and be more effective when dealing with the demands of parenting. Your mental health is extremely important and and a part of taking time for yourself. It’s essential for you to seek out the help that you need when you feel as though you are struggling. If you would like to talk get in touch with Psymplicity

If finding time for yourself seems impossible, start small. Even five minutes of relaxation can help clear your mind and improve your mood. And if you have older children who can look after themselves for a little while, use that extra time to focus on YOU.

2) Accept that you’re not perfect.

One of the biggest traps parents fall into is the belief that they have to be perfect. This is simply impossible, and trying to achieve it will only lead to frustration and stress. Accepting that you’re not perfect is essential in taking care of your mental health.

It’s OK to make mistakes. It’s inevitable! What’s important is that you learn from them and move on. Don’t dwell on your mistakes, as this will only aggravate your mental health. Instead, focus on what you can do to improve things going forward.

3) Don’t be afraid to ask for help.

Asking for help is another sign of strength, not weakness. If you’re struggling with your mental health, don’t be afraid to ask for help from friends or family members. They may not be able to solve all your problems, but they can offer support and understanding.

If you feel like you need more assistance, consider seeking professional help. Many qualified therapists can help you manage your mental health. Don’t be ashamed to ask for help – it’s one of the best things you can do for yourself and your children.

Asking for help is not only good for you, but good for your children. When you ask for help, you are telling your children it is okay to do so, and you will model excellent behaviour that will support them in their own lives and battles. It can also be important to seek support for your children if they need it. When your whole family is getting the support they need, then you can all live happier, more fulfilling lives. Seeking support for your children can help you. Many parents feel like they have to be the ones supporting their children. But you can only do so much. There comes a point where your children may need outside support. For example, if your children are neurodivergent or have learning disabilities, then specialised learning disability support from a professional will be able to tailor help to their individual needs.

4) Set realistic expectations.

One of the leading causes of stress for parents is unrealistic expectations. We often expect ourselves to be able to do everything, and this can lead to a lot of frustration and unhappiness. It’s important to set realistic expectations for yourself and your children. This means acknowledging that you won’t always be able to meet everyone’s needs, and that’s OK.

It’s also important to remember that children are individuals and will develop at different rates. Don’t compare your child to others – this will only lead to dissatisfaction on your part and potential mental health issues for your child. Instead, accept your child for who they are, and work with their strengths and weaknesses.

5) Take care of your physical health.

Your physical health is just as important as your mental health. When you’re feeling stressed and overwhelmed, it’s easy to neglect your well-being. But this is a mistake! If you want to take care of your children effectively, you need to take care of yourself first.

Ensure you’re getting enough sleep, eating healthy foods, and exercising regularly. These things will improve your physical health, but they will also boost your mental wellbeing. And when you feel good physically, it’s easier to deal with the stresses of parenting.

6) Set boundaries.

It’s important to set boundaries with your children, as this will help them learn how to respect your time and space. As parents, we often put our children’s needs before our own, but it’s essential that you take care of yourself too. Otherwise, you’ll quickly become overwhelmed and stressed.

Set clear boundaries for yourself and your children – make sure they know when to stop playing and start doing their homework, for example. It can be challenging to enforce boundaries sometimes, but it’s crucial that you do so to maintain your mental health.

7) Monitor your children digitally.

With the rise of technology, it’s more important than ever to monitor your children’s digital habits. Screens can be addictive and damaging to a child’s mental health, so it’s essential to set rules and limits on how much time they spend in front of them.

If you’re unsure where to start, try setting a timer and limiting screen time to a certain number of hours per day. You can also install parental control software on your child’s devices to help limit their access to harmful content. You can also keep an eye on them by using innovative new technology, you can click this link to buy it at Family Orbit. Finally, remember that it’s OK to unplug every once in a while – get out into nature, read books together, and have conversations without screens!

8) Spend quality time as a family.

One of the best ways to improve your mental health as a parent is to spend quality time with your children. This doesn’t mean spending hours watching TV or playing video games – it means being engaged and present with your kids.

Spend time talking, laughing, and simply enjoying each other’s company. Play games, go for walks, cook dinner together – do whatever feels fun and natural. When you take the time to connect with your children on a deeper level, it strengthens the bond between you and helps improve your mental well-being too!

9) Use meditation to release stress.

Meditation is a great way to deal with stress and anxiety. When you’re feeling overwhelmed, take a few minutes to yourself to meditate. This can be done in any quiet space, and there are many different types of meditation to try. If you’re not sure how to get started, plenty of guided meditation apps and YouTube videos are available online. Or, if you prefer, find a local meditation class or workshop. With regular practice, meditation can help you manage your stress levels more effectively and improve your overall mental health.

Mental health is just as important as physical health, and you must take care of ourselves as a parent or carer. These eight tips are an excellent place to start, but remember that everyone is different. So find what works best for you and your family, and don’t be afraid to ask for help when you need it.

This article was written by a freelance writer and contains affiliate links.

Looking After Your Mental Health While Working from Home.

Photo by Andrea Piacquadio

When you work from home, it can be challenging to maintain a healthy work-life balance. You may find yourself working all hours of the day and night and not getting enough exercise or social time. This can lead to problems with your mental health. Here we will discuss some tips for looking after your mental health when working from home.

1) Make Sure To Take Breaks Throughout The Day

When you work from home, it is essential to make sure that you take breaks throughout the day. This will help you to avoid burnout and will allow you to recharge your batteries. Make sure to step away from your work every few hours, even if it is just for a few minutes. If you work from home and you notice that your mac is hot, go for a walk, make yourself a cup of tea, or call a friend while you wait for it to cool down.

Doing something that takes your mind off of work will help you return to your tasks feeling refreshed and ready to tackle them.

If possible, try to take a longer break in the middle of the day – this will give you something to look forward to and will help break up the monotony of working from home.

2) Set A Schedule And Stick To It

One of the best ways to stay on top of your mental health when working from home is to set a schedule and stick to it. Having a routine will help you to feel more in control of your work, and it will make it easier to take breaks when you need to.

If possible, try to start and end your workday simultaneously each day. This will create a sense of structure in your day, and it will give you something to look forward to.

In addition, make sure to schedule time for lunch and other breaks. Putting these into your schedule will ensure that you take them, and they will help you to avoid working straight through the day.

3) Make Sure Your Workspace Is Comfortable

When you work from home, your workspace is likely to be in your house. This can make it difficult to separate your home life from your work life. To help with this, it is essential to make sure that your workspace is comfortable and inviting.

Your workspace should be somewhere that you enjoy spending time, so make sure to personalize it with things that make you happy. If possible, try to set up your workspace near a window with natural light. This will help you to feel more energized and will reduce eye strain.

In addition, make sure that your workspace is free of distractions. Turn off the television, put away any toys or games, and close the door to any other rooms in the house. This will help you to focus on your work and will minimize distractions.

In conclusion, working from home can affect your mental health. However, by following these tips, you can make sure that you stay on top of your mental health and avoid burnout.

Make sure to take breaks throughout the day, set a schedule and stick to it, and create a comfortable and inviting workspace. By following these tips and looking after your health, you will be able to maintain a healthy work-life balance and will be able to enjoy working from home.

This article was written by a freelance writer and contains links.